Online prior authorizations
Automated prior authorization management solution
Surprisingly, many healthcare providers still rely on a manual paperwork process for authorization management. Unfortunately, this leads to confusion and miscommunication that isn’t good for patients or providers. It’s time to move from antiquated to automated.
Authorizations is Experian Health's integrated online service that facilitates the prior authorization management inquiry and submission processes. Inquiries are automated and take place behind the scenes without user intervention. The user is guided through the workflow, auto-filling all of the payer data and prompting only if manual intervention is required.
Authorizations taps into our Knowledgebase which stores and dynamically updates national payer prior authorization requirements. Clients can provide local/community rules and updates to be downloaded into the knowledgebase. Authorizations users automatically have access to the most up-to-date prior authorization requirement information in real-time.
With multiple connection types to payers, our system facilitates the prior authorization submission process. With the use of artificial intelligence (AI) the system will automatically bring users to the appropriate payer and connection type. Once submitted, Experian automates the back-end of the submission process 100%.
Inquiries and status monitoring take place without user intervention, only prompting users when their involvement is required.
Our pre-authorization knowledgebase stores and dynamically updates payer prior authorization requirements. Your staff can check whether prior authorization is required for a particular procedure or service with ease.
Automating 100% of prior authorization inquiries leads to faster reimbursement and decreased denials.